I suspect that the methodology for measuring success was far too narrow. Focused entirely on crime, they missed a host of other gains from participation in treatment.
Rehab isn’t intended to effect a cure for someone’s addiction. We don’t have a cure for anybody’s addiction.
Those misconceptions are a principal reason so many Americans have become skeptical of the value of treating addictions at all.
Somebody who shows up six months later, sick, asking for another admission to the hospital, is in their eyes a failure.
Experience tells us that almost all of the wide variety of treatment strategies and models are around because they work well for someone.
People attend AA for a variety of reasons, in different stages of readiness, and with diverse objectives in mind.
It presupposes a patient who agrees with the recommendations, which, particularly with addictions, may not be the case.
This is really about a continuous process of change. The unifying force is the addict’s subjective experience.